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Date Received
RESERVED FOR PUBLIC ETHICS USE
CITY OF OAKLAND PUBLIC ETHICS COMMISSION
LOBBYIST NOTICE OF TERMINATION
Please note that you must renew your registration with the Public Ethics if you decide to engage
in lobbying activities after the above date of termination.
I declare under penalty of perjury under the laws of the State of California that the information I
provided above is true and correct.
Date: ___________________ _____________________________________
Signature
Please return via email to ethicscommission@oaklandca.gov
Filings sent by mail or fax are also accepted. Send to: Oakland Public Ethics Commission
1 Frank H. Ogawa Plaza, 1st Floor, Room 104 Oakland, CA 94612 Fax: (510) 238-3315
Full name:
Name of Lobbying Firm or Employer:
Lobbying Firm/Employer Business Address:
City, State, Zip Code:
Work Phone:
Work Email:
Date Lobbying Activities Terminated: